CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Crystal Creek Post-Acute
View the most recent health deficiencies and inspection results for Crystal Creek Post-Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Crystal Creek Post-Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-30 | 2026-02-17 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-12-19 | 2026-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-19 | 2026-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-19 | 2026-01-05 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2025-12-19 | 2026-01-05 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-12-19 | 2026-01-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-12-19 | 2026-01-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-12-19 | 2026-01-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-12-19 | 2026-01-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-19 | 2026-01-05 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-12-19 | 2026-01-05 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-12-19 | 2026-01-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-12-19 | 2026-01-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-19 | 2026-01-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-12-19 | 2026-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-19 | 2026-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-19 | 2026-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-12-19 | 2026-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-19 | 2026-01-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-19 | 2026-01-03 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-12-19 | 2026-01-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-12-19 | 2026-01-03 | N |
| Respond appropriately to all alleged violations. | Health | 2025-11-18 | 2025-11-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-11-18 | 2025-11-19 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-09-23 | 2025-10-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-24 | 2025-05-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-24 | 2025-02-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-08 | 2024-12-08 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-11-08 | 2024-12-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-08 | 2024-12-08 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-11-08 | 2024-12-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-11-08 | 2024-12-08 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-11-08 | 2024-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-08 | 2024-12-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-08 | 2024-12-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-08 | 2024-12-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-11-08 | 2024-12-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-08 | 2024-12-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-11-08 | 2024-12-08 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-11-08 | 2024-12-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-08 | 2024-12-08 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-11-08 | 2024-12-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-08 | 2024-12-08 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-11-08 | 2024-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-08 | 2024-12-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-11-08 | 2024-11-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-08 | 2024-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-08 | 2024-11-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-11-08 | 2024-11-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-08 | 2024-11-14 | N |
| Use approved construction type or materials. | Fire Safety | 2024-11-08 | 2024-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-23 | 2024-10-23 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-09-23 | 2024-10-23 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-23 | 2024-10-23 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-09-23 | 2024-10-23 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-07-24 | 2024-08-20 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-24 | 2024-08-20 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-07-05 | 2024-08-09 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-07-05 | 2024-08-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-22 | 2023-12-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-13 | 2023-11-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-13 | 2023-11-13 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-10-13 | 2023-11-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-13 | 2023-11-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-13 | 2023-11-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-13 | 2023-11-13 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-10-13 | 2023-11-13 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-10-13 | 2023-11-13 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-10-13 | 2023-11-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-13 | 2023-11-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-13 | 2023-11-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-13 | 2023-11-13 | N |
| Use approved construction type or materials. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-13 | 2023-11-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-22 | 2023-10-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-24 | 2023-10-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-14 | 2023-07-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-01 | 2023-07-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-13 | 2023-07-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-13 | 2023-07-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-04-16 | Not Fixed | Y |
| Ensure each resident receives an accurate assessment. | Health | 2026-04-16 | Not Fixed | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-04-16 | Not Fixed | Y |